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Table 1 Major themes from key informant interviews

From: Intervention development for integration of conventional tobacco cessation interventions into routine CAM practice

Interest in CAMR Study Thought tobacco cessation was relevant and important to practice; CAMR and participation in tobacco cessation viewed as a public health service
Experience w/ Tobacco use (TU) Conversations TU conversations not typically initiated by practitioners unless requested by client/patient; TU not uniformly assessed among new clients/patients; practitioners felt most comfortable with initiating conversations about TU with established clients/patients
Barriers to TU Conversations Patient might perceive TU conversations as intrusive - potential client alienation or confrontation; being perceived as giving a “sales pitch”; time constraints; cost effectiveness of TU conversations; scope of practice concerns (massage therapists); potential for patient to be dissatisfied and leave the practice
Training Content Desired Tobacco use effects on health and the healing process, link between tobacco use and common presenting problems; TU conversation starters; biomedical and psychological perspectives of tobacco addiction; TU cessation referral resources
Tone Desired Encouraging, supportive, focused on listening and referral
Environmental/System Change Intake appointments typically long, allow for lifestyle conversations; return client flow allows for follow up conversations; intake forms could be modified to include TU questions; posters and handouts welcomed in practice
Research/Training logistics No-cost training and CEUs extremely desirable; practice patient protocol acceptable and positively regarded